Individual provider Active NPI

Erick Jordan Lund, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Riverton, UT
National Provider Identifier
1932543121
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8345190 Issued in UT
Practice address
4651 W 13400 S Ste 110
Riverton, UT 84096-6483
Phone
(801) 515-5858
Fax
(801) 515-5859
NPI assigned
Apr 18, 2013
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8345190-9922 UT
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 8345190 UT Primary

Addresses

Primary practice location

4651 W 13400 S Ste 110
Riverton, UT 84096-6483

Mailing address

4651 W 13400 S Ste 110
Riverton, UT 84096-6483
Phone (801) 515-5858

Other identifiers 1

IdentifierTypeStateIssuer
1083298525MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8345190-9922UTMDGeneral Practice Dentistry
8345190UTMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Families First Orthodontics Orthodontics and Dentofacial Orthopedics CurrentSince Jan 15, 2023 Accepting new patients
Families First Pediatric Dentistry CurrentSince Jan 15, 2023 Accepting new patients

Locations

1597 Woodland Park Dr
Ste 200
Layton, UT 84041
Phone (801) 544-1940

4651 W 13400 S
Ste 110
Riverton, UT 84096
Phone (801) 450-1250

5459 W 7800 S
Ste 100
West Jordan, UT 84081
Phone (505) 515-5858

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1932543121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 W 13400 S STE 110",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840966483",
            "telephone_number": "801-515-5858",
            "fax_number": "801-515-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 W 13400 S STE 110",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840966483",
            "telephone_number": "801-515-5858",
            "fax_number": "801-515-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUND",
        "first_name": "ERICK",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-18",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "8345190-9922",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "8345190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083298525",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.